Lmmunoarchitecture of the Human Spleen Th.M. Grogan, M.D., C.S

Total Page:16

File Type:pdf, Size:1020Kb

Lmmunoarchitecture of the Human Spleen Th.M. Grogan, M.D., C.S 72 Lymphology 16 (1983) 72-82 ©Georg Thieme Verlag Stuttgart · New York lmmunoarchitecture of the Human Spleen Th.M. Grogan, M.D., C.S. Jolley, M.T. (ASCP), C.S. Rangel, H.T.L. (ASCP) Department of Pathology, University of Arizona, Arizona Health Sciences Center, Tucson, Arizona Summary plastic involvement of the spleen was absent New immunochemical staining techniques reveal by both gross and microscopic inspection in­ key topographic aspects of splenic immune function. dicating normal immunoreactive spleens, al­ Distinct compartmentalization of B and T cells and lymphocytic subtypes within the white and red though we cannot exclude minor pathologic pulp of the human spleen provide a morphologic alterations. Resected specimens were snap basis for division of labor in the immune response. frozen in OCT compound (Ames Company Division of Miles Laboratory, Elkart, Indiana) and stored at - 70 °C. Introduction Tissue section analysis was performed using The human spleen functions as an immuno­ biotin-avidin conjugation and horseradish per­ logic ftlter of the bloodstream. Although oxidase labelling with diarninobenzidine tetra­ its importance in immune function has hydrochloride as the detection agent (1, 3). long been recognized and measured, details Briefly, cryostat sections of splenic tissues of splenic immunoreactivity remain elusive were fixed in acetone at 4 °C for 10 minutes, in part because topographic analysis of air-dried at room temperature, and then hy­ splenic immunologic features has heretofore drated in PBS at pH 7.4 for 10 minutes. Fol­ not been possible. Previously, red and white lowing this wash, mouse monoclonal antibody pulp cells were admixed in cell suspension to human cell surface antigen was applied assays that disrupted architecture. The ad­ (Table). vent of tissue section immunologic assessment After a second PBS wash, a second stage rea­ with hybridoma-derived monoclonal antibod­ gent, biotin conjugated F(ab')2 goat anti­ ies, a biotin-avidin conjugating system and mouse IgG (Tago, Incorporated) was added peroxidase labelling, now makes possible topo­ followed by 15 minute incubation and a 3 graphic study of immunologic function and de­ minute PBS wash. The cryostat section was lineation of the immunoarchitecture of lym­ next incubated with avidin D conjugated with phoreticular organs (1, 2). The present study horseradish peroxidase (Vector Laboratories, applies these newer techniques and reagents Inc.). After another 15 minute incubation pe­ to examine B and T lymphocytes and histio­ riod, the section was further washed twice cytes within the splenic white and red pulp with PBS. Next, each section was incubated to determine if immunologic compartmentali­ with diaminobenzadine tetrahydrochloride zation occurs as in lymph nodes and the (DAB) solution consisting of three mg of DAB thymus. per ml of PBS along with 0.010 ml of 30% H2 0 2 • After the 5 minute incubation in DAB Methods solution, sections were washed in PBS for 3 Six spleens were removed during staging lapa­ minutes and rinsed in distilled water. Slides rotomies for lymphoma. In each instance neo- were incubated in a copper sulfate solution Permission granted for single print for individual use. Reproduction not permitted without permission of Journal LYMPHOLOGY. lmmunoarchitecture of the Human Spleen 73 Table Hybridoma-derived monoclonal antibodies* Monoclonal Hybridoma Specificity Abbreviation Concentration antibody clone Leu 1 L17F12 Mature T-cells PAN-T 2 J.Lg/ml Leu 2a SK1 Suppressor-cytoxic Ts/c 2 J.Lg /ml T-cells Leu 3a SK3 Helper-inducer-T cells Th 2J.Lg /ml Leu 5 ATM 1.1 Sheep ABC ER 2 J.Lg /ml Receptor-bearing (ER) T-cells Leu 7 HNK-1 Natural killer cells NK 2 J.Lg /ml Anti-HLA-DR L243 H LA-DR antigen fl-lym- Ia 1 J.Lg /ml phocytes, monocytes/ histocytes, activated T-cells Anti-kappa 163-42 kappa-immunoglobulin lgK 0.5 J.Lg/ml light chains, cytoplasmic and surface Anti-lambda 1-155-2 lambda-immunoglobulin lg71. 0.5 J.Lg/ml light chains, cytoplas- mic and surface *Obtained from Becton-Dickinson, Oxnard, Calif. for 5 minutes, rinsed with PBS, dipped in dis­ magnification, the preponderance of mature tilled water and counter-stained with methy­ T cells in the white pulp and the spillover into lene blue for 5 minutes, followed by a brief the red pulp. At higher magnification in Fig.2, 100% ethanol dip, two changes of xylene and T cells are identified by a darkly stained peri­ coverslipped with permount. phery in contrast to T antigen negative cells Alpha-naphthyl butyrate esterase activity indi­ without peripheral surface staining. A light cative of the presence of monocytic/histiocytic counterstain of methylene blue indicates in cells was detected on cryostat sections as previ­ gray tones the non-staining cellular compo­ ously described ( 4). nents seen predominantly in the germinal cen­ ter and in the red pulp. As indicated, an occa­ Results and Discussion sional extremely dark irregular cell with natural peroxidase activity is visible particularly in the As displayed in the figures, distinct antigenic red pulp. Figure 3 delineates graphically the staining patterns are clearly identifiable in the microanatomic features of this same cryostat splenic tissue sections using monoclonal anti­ section of splenic white pulp depicting the ana­ bodies with the biotin-avidin horseradish per­ tomic terms traditionally applied to the com­ oxidase technique. Our findings indicate that partments of the white pulp (2 , 5). Figs. 1- 3 compartmentalization of the B and T cells oc­ considered together illustrate the utility of the curs within the white pulp. Although B and tissue sections mode of immunologic assess­ T cell areas are largely separate, some overlap ment and the sharp details of immunoarchitec­ of these zones exists with spillover of B and T ture discernible by this approach. cells into the red pulp. The staining pattern in Figures 1 and 2 demon­ strate a predominance of mature dark staining A Localization of mature T cells: T-cells in the periarteriolar lymphoid sheath Figures 1 and 2 demonstrate the distribution (PALS). This pattern signifies that mature T of mature T cells. Figure 1 emphasizes at low cells are largely compartmentalized in the PALS . Permission granted for single print for individual use. Reproduction not permitted without permission of Journal LYMPHOLOGY. 74 Th.M. Grogan, C.S. Jolley, C.S. Rangel Fig. 1 Localization of mature T cells using Leu 1 antibody. Darkly stained mature T cells predominate in the white pulp (WP) and spill over into the red pulp ( RP) . Magnification 25 x They also appear in the adjacent marginal zone of mature T cells in the marginal zone is of (MZ) and mantle of the germinal center. A interest because many splenic arterioles seem few are found scattered wjthin the germinal to terminate here (Figs. 2 and 3), and this is center and the red pulp. Thus, while substan­ also the site where antigen trapping takes place tial compartmentalization of mature, splenic (2, 5, 6). Some evidence suggests that antigen T cells may exist in the PALS and MZ zones, does not remain in the marginal zone but is there is intimate contact of T cells wjth B transferred to the germinal center where its cells in the germinal centers and with macro­ presence in dendritic reticulum cells stimulates phages in the red pulp. B cell deveopment (5 - 7). It is possible that Mitoses identified in the PALS region of most some antigen is transported to the PALS re­ spleens examined indicate T cell proliferation gion to stimulate T cell clonal expansion. Al­ in this zone. Previously T cells in the PALS though this immunochemical technique cannot were thought to represent T cells migrating precisely delineate the sequence of events in from the bloodstream and "homing" to the antigen trapping and subsequent T & B cell spleen (2 , 5). The observed mitoses, however, clonal expansion, further application to in vivo suggest that T cell clonal expansion may also animal studies may pinpoint the sequential occur in this region substantiating local proli­ white pulp response (lymphocytopoiesis). feration as well as systemic migration. B.Localization ofT versus B cells: In all six spleens the T cells in the marginal zone do not display mitoses. Mature T cells Using the tissue section method of immunolo­ in this region presumably migrate from the gic assessment, sections can be examined for T PALS zones of clonal expansion or enter di­ & B cell antigens sequentially. The staining pat­ rectly from the circulation. The prominence tern in Fig. 4 demonstrates T & B compartmen- Permission granted for single print for individual use. Reproduction not permitted without permission of Journal LYMPHOLOGY. lmmunoarchitecture of the Human Spleen 75 Fig. 2 Localization of mature T cells using Leu antibody. Darkly stained T cells predominate in the peri­ arteriolar regions and are scarce in the germinal center (GC) . The arrows indicate dark irregular cells with natural peroxidase activity. Magnification 250 x ;" ,.--- .......... _____ _ __ ... RP ./ ; .... ,.- .... ' ..... _______ .,/ " MZ PALS ;'--------, ..... RP 'I / ..... \ / ', \ / ..... ..... ' .... RP ---- ............ _.,, Fig. 3 Microanatomic compartments of the white pulp. The anatomic features of the white pulp in Fig. 2 are delineated. PALS= periarteriolar lymphoid sheath; CA =central arteriole; GC =germinal center; MZ = marginal zone; M = mantle; A = arteriole; RP = red pulp Permission granted for single print for individual use. Reproduction not permitted without permission of Journal LYMPHOLOGY. 76 Th.M. Grogan, C.S. Jolley, C.S. Rangel A B Fig. 4 T versus B cells: (A (left): Localization of T cells with sheep red blood cell receptor using Leu 5 anti· body. These cells are predominant in the PALS and MZ. Magnification 100 x. B (right): Localization of B cells using anti-kappa antibody on serial section of the same white pulp region . These cells are predominant in the GC, M, MZ and adjacent RP .
Recommended publications
  • Primary Splenic and Nodal Marginal Zone Lymphoma
    J. Clin. Exp. Hematopathol Vol. 45, No. 1, Aug 2005 Review Article Primary Splenic and Nodal Marginal Zone Lymphoma: Jacques Diebold, Agne`s Le Tourneau, Eva Comperat, Thierry Molina and Jose´ e Audouin Primary splenic and nodal marginal zone (MZ) lymphomas are rare small B cell lymphomas presenting with similar histopathologic features. The neoplastic cell population mostly consists of monocytoid B cells organized in a MZ pattern, associated with centrocytoid cells colonizing follicles. About 50% of cases have a monotypic plasma cell component. The different histopathologic patterns and differential diagnosis are discussed here. Both diseases share a similar immunophenotype, with the expression of B-cell associated antigens and restriction of immunoglobulin light chain. The only difference is the more frequent expression of IgD in splenic than in nodal lymphomas. The most recent findings in genetics and molecular biology are presented and discussed. The main clinical and biological symptoms are described and the similarity of some cases with Waldenstro¨ms macroglobulinemia is stressed. Both lymphomas present with the same type of bone marrow involvement with a high frequency of intravascular infiltrates, which can be associated with interstitial and nodular infiltrates. Transformation into diffuse large B cell lymphoma occurs in about 10 to 15% of the cases. The outcome in many splenic MZ lymphomas is characterized by a lengthy survival after splenectomy (9 to 13 years or longer), despite the absence of a consensus on the optimal treatment. Nodal MZ lymphoma has a more aggressive evolution and seems to only be curable at an early stage. Further studies are needed of both lymphomas to improve treatment and prognosis.
    [Show full text]
  • Cells, Tissues and Organs of the Immune System
    Immune Cells and Organs Bonnie Hylander, Ph.D. Aug 29, 2014 Dept of Immunology [email protected] Immune system Purpose/function? • First line of defense= epithelial integrity= skin, mucosal surfaces • Defense against pathogens – Inside cells= kill the infected cell (Viruses) – Systemic= kill- Bacteria, Fungi, Parasites • Two phases of response – Handle the acute infection, keep it from spreading – Prevent future infections We didn’t know…. • What triggers innate immunity- • What mediates communication between innate and adaptive immunity- Bruce A. Beutler Jules A. Hoffmann Ralph M. Steinman Jules A. Hoffmann Bruce A. Beutler Ralph M. Steinman 1996 (fruit flies) 1998 (mice) 1973 Discovered receptor proteins that can Discovered dendritic recognize bacteria and other microorganisms cells “the conductors of as they enter the body, and activate the first the immune system”. line of defense in the immune system, known DC’s activate T-cells as innate immunity. The Immune System “Although the lymphoid system consists of various separate tissues and organs, it functions as a single entity. This is mainly because its principal cellular constituents, lymphocytes, are intrinsically mobile and continuously recirculate in large number between the blood and the lymph by way of the secondary lymphoid tissues… where antigens and antigen-presenting cells are selectively localized.” -Masayuki, Nat Rev Immuno. May 2004 Not all who wander are lost….. Tolkien Lord of the Rings …..some are searching Overview of the Immune System Immune System • Cells – Innate response- several cell types – Adaptive (specific) response- lymphocytes • Organs – Primary where lymphocytes develop/mature – Secondary where mature lymphocytes and antigen presenting cells interact to initiate a specific immune response • Circulatory system- blood • Lymphatic system- lymph Cells= Leukocytes= white blood cells Plasma- with anticoagulant Granulocytes Serum- after coagulation 1.
    [Show full text]
  • Centers Differentiation Stages in Human Germinal Patterns Reflect
    Cutting Edge: Polycomb Gene Expression Patterns Reflect Distinct B Cell Differentiation Stages in Human Germinal Centers This information is current as of September 27, 2021. Frank M. Raaphorst, Folkert J. van Kemenade, Elly Fieret, Karien M. Hamer, David P. E. Satijn, Arie P. Otte and Chris J. L. M. Meijer J Immunol 2000; 164:1-4; ; doi: 10.4049/jimmunol.164.1.1 Downloaded from http://www.jimmunol.org/content/164/1/1 References This article cites 22 articles, 11 of which you can access for free at: http://www.jimmunol.org/ http://www.jimmunol.org/content/164/1/1.full#ref-list-1 Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists by guest on September 27, 2021 • Fast Publication! 4 weeks from acceptance to publication *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2000 by The American Association of Immunologists All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. c Cutting Edge: Polycomb Gene Expression Patterns Reflect Distinct B Cell Differentiation Stages in Human Germinal Centers Frank M. Raaphorst,1* Folkert J. van Kemenade,* Elly Fieret,* Karien M.
    [Show full text]
  • 1 | Page: Immune Cells and Tissues Swailes Cells and Tissues of The
    Cells and Tissues of the Immune System N. Swailes, Ph.D. Department of Anatomy and Cell Biology Rm: B046A ML Tel: 5-7726 E-mail: [email protected] Required reading Mescher AL, Junqueira’s Basic Histology Text and Atlas, 12th Edition, Chapter 20: pp226-2480 Ross MH and Pawlina W, Histology: A text and Atlas, 6th Edition, Chapter 21: pp396-429 Learning objectives 1) Identify the major cells of the immune system and briefly outline their function 2) Describe the general structure of lymphoid tissue 3) Differentiate between primary and secondary immune organs 4) Identify the thymus and discuss the role of its cells in ‘educating’ immature T-cells 5) Identify a lymph node and outline how an immune response is triggered here 6) Identify the spleen and describe the role of red and white pulp in filtering the blood and reacting to blood borne antigens 7) Differentiate between MALT in the oral cavity (tonsils) 8) Know where to find and how to identify examples of BALT and GALT Major Take Home Points A. Lymphoid tissues are composed of different types of lymphocytes and supporting cells within a scaffold of Type III collagen/reticular fibers B. The major primary lymphoid organs are encapsulated organs where immature lymphocytes are born (bone marrow) and become immunocompetent (thymus) C. The major secondary lymphoid organs are encapsulated organs where immunocompetent lymphocytes differentiate into effector cells after exposure to antigen in the blood (spleen) or lymph (nodes) D. Mucosa Associated Lymphoid Tissues (MALT) are un-encapsulated areas of lymphoid tissue within the mucosa of organs that can be identified by their lining epithelium (tonsils, GALT: ileum and appendix, BALT) 1 | Page: Immune Cells and Tissues Swailes A1: Organization of the immune system 5a A.
    [Show full text]
  • Mantle Cell Lymphoma Stefano A
    Editorials and Perspectives ers in myeloproliferative diseases: relationships with JAK2 Pascutto C, et al. Relation between JAK2 (V617F) mutation V617 F status, clonality, and antiphospholipid antibodies. J status, granulocyte activation, and constitutive mobilization Thromb Haemost 2007;5:1679-85. of CD34+ cells into peripheral blood in myeloproliferative 17. Falanga A, Marchetti M, Vignoli A, Balducci D, Russo L, disorders. Blood 2006;107:3676-82. Guerini V, et al. V617F JAK-2 mutation in patients with 23. Alvarez-Larrán A, Arellano-Rodrigo E, Reverter JC, essential thrombocythemia: relation to platelet, granulo- Domingo A, Villamor N, Colomer D, et al. Increased cyte, and plasma hemostatic and inflammatory molecules. platelet, leukocyte, and coagulation activation in primary Exp Hematol 2007;35:702-11. myelofibrosis. Ann Hematol 2008;87:269-76. 18. Arellano-Rodrigo E, Alvarez-Larran A, Reverter JC, 24. Leibundgut EO, Horn MP, Brunold C, Pfanner-Meyer B, Colomer D, Villamor N, Bellosillo B, et al. Platelet turnover, Marti D, Hirsiger H, et al. Hematopoietic and endothelial coagulation factors, and soluble markers of platelet and progenitor cell trafficking in patients with myeloprolifera- endothelial activation in essential thrombocythemia: rela- tive diseases. Haematologica 2006;91:1465-72. tionship with thrombosis occurrence and JAK2 V617F allele 25. Sozer S, Fiel MI, Schiano T, Xu M, Mascarenhas J, Hoffman burden. Am J Hematol 2009;84:102-8. R. The presence of JAK2V617F mutation in the liver 19. Trappenburg MC, van Schilfgaarde M, Marchetti M, Spronk endothelial cells of patients with Budd-Chiari syndrome. HM, ten Cate H, Leyte A, et al. Elevated procoagulant Blood 2009;113:5246-9.
    [Show full text]
  • Leukaemic Phase of Mantle Zone (Intermediate) Lymphoma: Its Characterisation in 11 Cases
    J Clin Pathol: first published as 10.1136/jcp.42.9.962 on 1 September 1989. Downloaded from J Clin Pathol 1989;42:962-972 Leukaemic phase of mantle zone (intermediate) lymphoma: its characterisation in 11 cases M S POMBO DE OLIVEIRA,* E S JAFFE, D CATOVSKY* From the *Department ofHaematology and Cytogenetics, The Royal Marsden Hospital, London, and the Department ofPathology, National Cancer Institute, Bethesda, Maryland, United States ofAmerica SUMMARY Sixteen patients presented with B cell leukaemia (white cell count 26-269 x 109/1) which could not be classified as chronic lymphocytic (CLL), prolymphocytic leukaemia, or follicular lymphoma in leukaemic phase. Eleven patients (10 men, one woman) corresponded histologically to intermediate (INT) or mantle zone lymphoma, and five, with less well defined features, were designated small lymphocytic lymphoma with cleaved cells. The blood films showed a pleomorphic picture with lymphoid cells ofpredominantly medium size with nuclear irregularities and clefts. The membrane phenotype of the circulating cells showed strong immunoglobulin staining and reactivity with CD5 and FMC7 in all cases tested; CD1O was positive in six out of nine cases. The membrane phenotype of two of the five cases of small lymphocytic lymphoma was close to those of B-CLL and three resembled INT lymphoma. Bone marrow trephine biopsy specimens showed a diffuse pattern of infiltration in INT lymphoma. The median survival of these patients was less than two years, suggesting that a leukaemic presentation is associated with poor prognosis. By combining data from histology, membrane markers, and peripheral blood morphology, the leukaemic phase oftypical INTcopyright. lymphoma can be defined in most cases.
    [Show full text]
  • Lymphoid System IUSM – 2016
    Lab 14 – Lymphoid System IUSM – 2016 I. Introduction Lymphoid System II. Learning Objectives III. Keywords IV. Slides A. Thymus 1. General Structure 2. Cortex 3. Medulla B. Lymph Nodes 1. General Structures 2. Cortex 3. Paracortex 4. Medulla C. MALT 1. Tonsils 2. BALT 3. GALT a. Peyer’s patches b. Vermiform appendix D. Spleen 1. General Structure 2. White Pulp 3. Red Pulp V. Summary SEM of an activated macrophage. Lab 14 – Lymphoid System IUSM – 2016 I. Introduction Introduction II. Learning Objectives III. Keywords 1. The main function of the immune system is to protect the body against aberrancy: IV. Slides either foreign pathogens (e.g., bacteria, viruses, and parasites) or abnormal host cells (e.g., cancerous cells). A. Thymus 1. General Structure 2. The lymphoid system includes all cells, tissues, and organs in the body that contain 2. Cortex aggregates (accumulations) of lymphocytes (a category of leukocytes including B-cells, 3. Medulla T-cells, and natural-killer cells); while the functions of the different types of B. Lymph Nodes lymphocytes vary greatly, they generally all appear morphologically similar so cannot be 1. General Structures routinely distinguished in light microscopy. 2. Cortex 3. Lymphocytes can be found distributed throughout the lymphoid system as: (1) single 3. Paracortex cells, (2) isolated aggregates of cells, (3) distinct non-encapsulated lymphoid nodules in 4. Medulla loose CT associated with epithelium, or (4) encapsulated individual lymphoid organs. C. MALT 1. Tonsils 4. Primary lymphoid organs are sites where lymphocytes are formed and mature; they 2. BALT include the bone marrow (B-cells) and thymus (T-cells); secondary lymphoid organs are sites of lymphocyte monitoring and activation; they include lymph nodes, MALT, and 3.
    [Show full text]
  • Clinical Chemistry Trainee Council Pearls of Laboratory Medicine
    Clinical Chemistry Trainee Council Pearls of Laboratory Medicine www.traineecouncil.org TITLE: Lymph Node Structure and Function PRESENTER: Teresa S. Kraus, MD Slide 1: Hello, my name is Teresa Kraus, and I am an assistant professor and medical director of the clinical hematology laboratory at the University of Oklahoma Health Sciences Center. Welcome to this Pearl of Laboratory Medicine on “Lymph Node Structure and Function.” Slide 2: Primary lymphoid tissues are sites of foreign antigen-independent lymphoid differentiation. B cell precursors originate, and undergo the early stages of differentiation, in the bone marrow, and enter the circulation as mature naïve B cells. T cell progenitors originate in the bone marrow and migrate to the thymus where they undergo selection and mature into naïve T cells, which express either CD4 or CD8. The secondary lymphoid tissues include the lymph nodes, spleen, and mucosa-associated lymphoid tissue (MALT). At these sites, naïve B and T cells encounter foreign antigens and undergo antigen- dependent maturation. Slide 3: Lymphatic vessels are present throughout most of the body, and drain excess interstitial fluid from tissues, eventually returning the fluid to the circulation via the subclavian veins. Lymph nodes are present at multiple points along the lymphatic network, and are particularly frequent along major vessels; in the neck, axillae, and groin; the mediastinum, and mesentery. Slide 4: Lymph nodes are small, bean-shaped structures, usually measuring between 0.2 and 2 cm, and are surrounded by a fibrous capsule. Fibrous trabeculae projecting from the capsule lend structural support to the lymph node. The lymph node can be separated into three cellular compartments: the cortex, paracortex, and medulla.
    [Show full text]
  • Landscape of T Follicular Helper Cell Dynamics in Human Germinal Centers
    Landscape of T Follicular Helper Cell Dynamics in Human Germinal Centers Emmanuel Donnadieu, Kerstin Bianca Reisinger, Sonja Scharf, Yvonne Michel, Julia Bein, Susanne Hansen, This information is current as Andreas G. Loth, Nadine Flinner, Sylvia Hartmann and of September 28, 2021. Martin-Leo Hansmann J Immunol published online 22 July 2020 http://www.jimmunol.org/content/early/2020/07/21/jimmun ol.1901475 Downloaded from Supplementary http://www.jimmunol.org/content/suppl/2020/07/21/jimmunol.190147 Material 5.DCSupplemental http://www.jimmunol.org/ Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication by guest on September 28, 2021 *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2020 by The American Association of Immunologists, Inc. All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. Published July 22, 2020, doi:10.4049/jimmunol.1901475 The Journal of Immunology Landscape of T Follicular Helper Cell Dynamics in Human Germinal Centers Emmanuel Donnadieu,*,1 Kerstin Bianca Reisinger,†,1 Sonja Scharf,† Yvonne Michel,† Julia Bein,†,‡ Susanne Hansen,† Andreas G. Loth,x Nadine Flinner,{ Sylvia Hartmann,†,‡ and Martin-Leo Hansmann†,‡,{ T follicular helper (Tfh) cells play a very important role in mounting a humoral response.
    [Show full text]
  • PRIMARY SPLENIC LYMPHOMA: DOES IT EXIST ? Paolo G
    review Haematologica 1994; 79:286-293 PRIMARY SPLENIC LYMPHOMA: DOES IT EXIST ? Paolo G. Gobbi, Giovanni E. Grignani, Ugo Pozzetti, Daniele Bertoloni, Carla Pieresca, Giovanni Montagna, Edoardo Ascari Clinica Medica II, Dipartimento di Medicina Interna, Università degli Studi di Pavia, IRCCS Policlinico S. Matteo, Pavia, Italy ABSTRACT The number of primary splenic lymphomas being reported is increasing despite the rarity of this malignancy, but what really constitutes a lymphoma arising primarily in the spleen is still a matter of discussion. The authors choose the “restrictive” definition of a lymphoma involving the spleen and the splenic hilar lymph nodes only. In this way, the risk of epidemiologic or clinical overestimation is avoided. The clinical features of this condition are characterized by non specific symptoms and signs, while the prevailing histology is that of a low-grade or intermediate-type lymphoma. Disease spreading outside of the spleen and its hilar lymph nodes is the single most important factor asso- ciated with an unfavorable prognosis. From this usual clinical picture, two distinct nosologic entities can be outlined on the basis of histologic and immunologic peculiarities: splenic lymphoma with circulating villous lymphocytes and marginal-zone splenic lymphoma. The former arises from follicular center cells and is char- acterized by hypersplenism, variable percentages of circulating villous lymphocytes and, fre- quently, a monoclonal gammopathy. The latter originates from a peculiar splenic B-cell structure separated by the mantle zone. The proliferating cells are medium-sized KiB3-positive lympho- cytes with round or cleaved nuclei and pale cytoplasm, which surround follicular centers and infiltrate the mantle zone.
    [Show full text]
  • Castleman's Disease—A Two Compartment Model of HHV8 Infection
    REVIEWS Castleman’s disease—a two compartment model of HHV8 infection Klaus-Martin Schulte and Nadia Talat Abstract | Castleman’s disease is a primary infectious disease of the lymph node that causes local symptoms or a systemic inflammatory syndrome. Histopathology reveals a destroyed lymph node architecture that can range from hyaline‑vascular disease to plasma‑cell disease. Viral interleukin 6 (vIL‑6) produced during the replication of human herpesvirus type 8 (HHV8) is the key driver of systemic inflammation and cellular proliferation. Stage progression of Castleman’s disease results from switches between viral latency and lytic replication, and lymphatic and hematogenous spread. Multicentric plasma‑cell disease in HIV‑1 patients is associated with HHV8 infection. Polyclonal plasmablast proliferation escapes control in the germinal center with eventual malignant transformation into non‑Hodgkin lymphoma. Surgery produces excellent results in unicentric disease, while multicentric disease responds to anti‑CD20 therapy or IL‑6 and chemotherapy. Lymphovascular endothelium and naive B cells are infectious reservoir‑opening options for antiangiogenic and anti‑CD19 strategies to enhance outcomes in patients with systemic disease. Schulte, K.‑M. & Talat, N. Nat. Rev. Clin. Oncol. 7, 533–543 (2010); published online 6 July 2010; doi:10.1038/nrclinonc.2010.103 Introduction Castleman’s disease was first described in a case report by hyaline-vascular type and the plasma-cell type. Frequent Castleman and Towne1 in 1954, which was followed by a transitions between types have led to the identification series in 1956.2 It is a unicentric or multicentric disease of of the mixed type that is reported in 15% of cases.3 The the lymph node with or without polyclonal proliferation other major pathological classification scheme is that of B cells.
    [Show full text]
  • Leukemic Non-Nodal Mantle Cell Lymphoma: Diagnosis and Treatment Akriti Gupta Jain, MD1 Chung-Che Chang, MD, Phd2 Sarfraz Ahmad, Phd3 Shahram Mori, MD, Phd4,*
    Curr. Treat. Options in Oncol. (2019) 20:85 DOI 10.1007/s11864-019-0684-8 Lymphoma (DO Persky, Section Editor) Leukemic Non-nodal Mantle Cell Lymphoma: Diagnosis and Treatment Akriti Gupta Jain, MD1 Chung-Che Chang, MD, PhD2 Sarfraz Ahmad, PhD3 Shahram Mori, MD, PhD4,* Address 1Department of Internal Medicine Residency Program, AdventHealth Cancer In- stitute, Orlando, FL, USA 2Department of Pathology & Laboratory Medicine, AdventHealth Cancer Institute, Orlando, FL, USA 3Department of Gynecologic Oncology, AdventHealth Cancer Institute, Orlando, FL, USA *,4Blood and Marrow Transplant Center, AdventHealth Cancer Institute, 2415 N. Orange Ave., Suite 601, Orlando, FL, 32804, USA Email: [email protected] * Springer Science+Business Media, LLC, part of Springer Nature 2019 This article is part of the Topical Collection on Lymphoma Keywords Leukemic I Mantle cell lymphoma I Non-nodal I P53 gene mutation I Diagnosis I Treatment Opinion statement Mantle cell lymphoma (MCL) encompasses nearly 6% of all the non-Hodgkin lymphomas. It is considered an incurable neoplastic process arising from B cells. The cytogenetic abnormality t(11;14) (q13; q32) leading to cyclin D1 overexpression is the sentinel genetic event and provides an exceptional marker for diagnosis. MCL is generally consid- ered to have an aggressive course as compared with other indolent lymphomas with traditionally reported median survival of 3–5 years. According to the 2016 WHO classifi- cation, there are two major known variants of MCL: classical which affects the lymph nodes and extra nodal sites and leukemic non-nodal MCL (L-NN-MCL) which characteristically involves the bone marrow, peripheral blood, and the spleen.
    [Show full text]